Page 109 - International guidelines for groin hernia management
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Hernia

           Introduction                                       guideline. The barriers to implementing recommendations
                                                              were sought and described independently in relevant
           One of the goals of the HerniaSurge Group is the worldwide  chapters.
           dissemination and implementation of our groin hernia  Implementation and dissemination methods
           management guidelines. They contain the most current
                                                                Branding—HerniaSurge. Theaim is for the guidelinestobe
           evidence-based information and also show where scientific
                                                                well-recognized, effective and disseminated worldwide.
           research is needed. They are important for guiding clinical
                                                                Translation of the key statements and recommendations
           practice and for the education of surgeons and for stan-
                                                                of the guidelines into languages that are most spoken:
           dardizing surgical training. However, without an ambitious
                                                                Mandarin, Spanish, French, Portuguese, Arabic, Russian,
           implementation plan designed to reach targeted groups, the
           impact on hernia management could be disappointing. 179, 180  Japanese and German.
                                                                Website: http://www.HerniaSurge.com—a platform that
           Never before have any of the hernia surgery societies or
                                                                consolidates the main aspects of the guidelines, gives
           inguinal guidelines focused on performing the difficult task
           of global recognition and awareness. 50, 51, 181, 182  insight into their development methodology, provides a
                                                                database of the multimedia supplements and also includes
             HerniaSurge will create a guideline implementation                                        184
                                                                resources for patients and medical professionals.
           trajectory and a transparent dissemination plan.
             The following questions were identified:            1.  Patient Resources
           •  What are the target groups for the guidelines?        •  Short videos explaining the pathology of IH and
           •  What are the most important messages of the guideli-     the most common surgical procedures.
              nes, both general and specific, for the targeted groups?  •  A brief explanation of the purpose for which the
           •  Which channels can be used for guidelines distribution?  guidelines were created.
           •  How can the guidelines be supported by Internet tools,  •  Highlights of the most important issues that are
              platforms, Apps and social media?                        of particular interest to IH patients (e.g., the
           •  What is the evaluation strategy for the implementation   prevention and treatment of chronic pain).
              process?









                                                                2.  Resources for medical professionals
           Target Groups
                                                                    •  Full guidelines.
           The groups needing information about guidelines content
                                                                    •  Short explanations of main objectives, methods
           include:
                                                                       and key recommendations in several languages.
           •  Surgeons and physicians treating groin hernia patients  •  Database with literature.
           •  Healthcare providers performing services for the treat-
                                                                Social media: Facebook and LinkedIn pages including
              ment of hernias
                                                                several selected topics (much more concise than the
           •  Groin hernia patients and their family members
                                                                HerniaSurge website)
           Message
                                                                1.  Resources for patients: three to four videos as
           HerniaSurge was established as a joint effort of the EHS,
                                                                    mentioned above with simple explanations on the
           EAES, IEHS, AHS, APHS, AMEHS and Australasian
                                                                    aim of the guidelines and the key recommendations
           Hernia Society to develop guidelines for surgeons and
                                                                    that are of particular interest to patients, translated
           healthcare providers who treat groin hernia patients. The
                                                                    into different languages.
           guidelines include information on inguinal and femoral
                                                                2.  Resources for medical professionals: short explana-
           hernias in men and women and were developed according    tions on main objectives, methods and key recom-
           to the AGREE II instrument. 183  A set of key recommen-
                                                                    mendations in several languages.
           dations of the guidelines will be identified on a global level
                                                                3.  Direct links to http://www.HerniaSurge.com.
           by a vote during the international hernia congresses. The
           focus of the dissemination process will be placed on these  Publication of the key recommendations with reference
           key recommendations while providing access to the whole  to the full guidelines (on the HerniaSurge website)
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